HomeMy WebLinkAboutPermit Mechanical 1999-10-4
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
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....JOB NUMBER r.. ,5:'
225 F-ifth Street ".~'
Springfield. Oregon H7477
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LOCATION OF PROPOSED WO,Fl~: tl S--O "
11 A 'f) 1-" '1 f "
ASSESSORS MAP: I&J ' , , '
LOT:
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DESCRIBE WORK: ;; /f')
OWNER:
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ADDRESS:
CITY'
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SUBDIVISION'
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CJ9'I78
STAT!':'
ZIP:
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NEW
REMODEL
ADDITION
OTHER
- OFFICE USE -
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QUAD AREA:-.-",' "nll-',rh..,,:r-"'. I, 'r' ~:',""!, 'LAND use: .' L=\.me'FTHE~w(!)v PLAIN:
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., vl~'f.:''''~~'''" ~'"".. oil. .-ru'C:OERMIT
II OF BLIb.GSN\~ ":-cJ'~, '. ' . ":' " ~'.oF'UI: -- U~DCr~ G CODE:' "
f,\i~"';' ....~.(.. . ;~-" ," .. AUTHOHll.i:.U ONEDFQR
OCCY GRQu)i: :" '.'., .' .... '.\ "'" ~, .', 'Cc1N~TR. I"P~N(:>CO OR'~ ,~ANO, " 'OF BDRMS:
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II OF ST.g>JllI=~YC\;,~~I.:.".. ,.' ~,' ':":r. ~.':Ij~.~;~:aS~~~9S00AV~~RIO . SECONDARY HEAT:
C:=\.I,~.f' -..',. , .(.. ~,"r
WATER HEi\TEFf .'~...,~ I' ._",.,.: '" ." >~Li~WNt?i~' SQUARE.FO,OTAGE:
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CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAl'
ELECTRICAL:
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DEMOLISH
ADDRESS'
CONST. i
CONTRACTOR #
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PHONE
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EXPIRES
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To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested befOrE! 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. '. . .
'.
o Temporary Electric
D Site Inspection - To be made'
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated. ' ' .
. . -;. "., ~
o Masonry - Steel.locatlon, bond
. beams, grouting.. .
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o Foundation - After forms are
erected, but. prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
REQUIRED INSPECTIONS
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o Rough Mechanical - Prior to
<::over.
D Final Plumbing - When all."
'plumbing w9rk Is complet,e.
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"0 Rough 'Electrical - Prior to
cover. .
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Final, Electrical ,.... When all
, 0 FlnJ Mechanical - ~hen all
m6chanlcal work Is co'mplete.
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o Electrical Service - Must be
. .,approved to obtain permanent
electr.lcal power.
o Flrepl~ce - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building Is,
completed. .. .
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o Framing - Prior to cover.
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O .Wall/C~lIIng Insulation - Prior to
cover." .,
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o Drywall-:- prl,or to taping.
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O Underfloor Plumbing/Mechanical" .' " , , ..'
- Prior to Insulation or decking.., : 0 WoodS,tove - After Installallon.
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MOBilE HOME,INSPECfIONS
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o Post and Beam - Prior to floor
Insulation or decking. '
o Floor Insulation - Prior to '
decking,
o Sanitary Sewer - Prior to filling
trench.
D Storrn Sewer - Prior to filling
trench. '
o Water Line - Prior to filling
trench, . '
o Rough Plumbing - Prior to
cover.
I
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o Insert - After fireplace approvlIl
and Installation of unit.
o Blocking and ~et-IUp ..:.. 'When all
blocking Is compl,ete. " , ' .
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Plumbing Conneclllons - When
home has been connected to
water and seweri" .. ?Il
D Sidewalk & Driveway - After
excavation Is compiete, forms
. and' sub-base material In place,
. '
o Electrical Connecltlon - When
blocking, set.up. and plumbing ,"
Inspections have heen approved
and the home Is conne,cted.to"';
the service panel. ";,'
o Fence - When completed.
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.. D Flnal.- After, ~!jreRl,Iir~d. , I.,
... l~spectl()nS ~r.e approved and ' '
. porches, skirting, ,jecks, and
. venting have .been In'stalledJ ,'oJ,..
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'D~S,treet Trees - When all required
trees are planted. ' . ,
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"";:':';&~;;~"~' ~etb~b~;..:.:;t,~t., '. ... i""(' ;HE' P~OPOSED WORK tN THE.
:': '..",.,Pi:~L; 'HSE' GAR ',ACe!,' "~"'HISTOI:iICAL DISTRICT, OR ON
"::' ,.Interlor ':;.Il'" .;. .' THE HISTORiCAL REGISTER?
,,~ Corner " . " N' --.-.. ,. , If yes, this application must be signed
. ".<;.:~r:! Panhandle k "'S'.:: -:,"": and approved by the Historical
Coordinator prior to permit Issuance.
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L~t faces
Lot sq. ftg: ,
'Lot coverage
Topography
Total height
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BUILDING PER~IT '~r.,:'~~~1~
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::i(;, k{ ..~,~PRqVED: '
BUILDi~J-G ~'U~E, :~lAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City, of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
,
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'ITEM
X $/so, FT, >=
VALUE
.......... ....
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Main
Garage
Carport
.,
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1
Plan Check Fee:
.
Date Paid:
Total Value
. Building Perin'it Fee'
,Receipt Number'
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State 'Surcharge
Received By:"
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT,
.
Water FT. '
Storm Sewer FT.
Mobile Home'
Plumbing Permit
State Surcharge
! :'
Total Charge
(C)
MECHANICAL' PERMIT
f.. 6 ()
Furnace
Total Permit.
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(0)
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By slgnatu~e,1 state and agree, that I have carefully examined
the completed application and db hereby certHy that all
Information hereon Is true and correct, and I further certify
that any and ali work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify that only contractors and employees who
are In c'ompllance with ORS 701.055 will be used on this
project.
Exhaust Hood "
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Vent Fan
NO
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Wood Sto~e'/I,~,~ertlFlreplac~ UnU
Dryer Vent . , '
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Mechanical Permit
.
Issuance
State Surcharge
Mobile ,Home
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I further agree to ensure that all required Inspections are
requested at the proper,tlme, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature Of ~
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MISCELLANEOUS PERMITS
State Issuance
State ,Surcharge
Sidewalk
It
It
Date'
Curbcut
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Demolition
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VALIDATION:
RECEIPT NUMBER 0 r S" 7 r 5-
DATE PAID . /0/ <{ If} /7
A.MOUNT RECEIVED d~
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2 C, s-r
State Surcharge . "
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Total MlscellaneoiJs' P~rmlts (E)
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TOTAL AMOUNT DUE (excluding electrical)
, (A, B, C, D, and E Combined) ,
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RECEIVED BY
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